CLIA lab
CLIA 03D2342479: Canyon State Academy
Queen Creek, AZ. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 03D2342479 belongs to Canyon State Academy in Queen Creek, AZ.
Certificate of Waiver, effective April 21, 2026, expires April 20, 2028.
Active in the CMS Provider of Services file posted October 16, 2026.
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
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Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- April 21, 2026
- Certificate expiration
- April 20, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- April 21, 2026
- Facility type
- Other
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 03D2342479
- Lab name
- Canyon State Academy
- Address
- 20061 E Rittenhouse Rd, Queen Creek, AZ 85142
- Phone
- (480) 987-9700
- Fax
- (480) 987-9701
Annual test volume the lab reported
- Waived tests
- 200
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Banner Physician Specialists Arizona LLCCertificate for Provider-Performed Microscopy Procedures, Physician office03D2106649
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- Banner Physician Super Specialists Arizona LLCCertificate of Waiver, Physician office03D2217366
Related
Questions
What is the CLIA number for Canyon State Academy in Queen Creek?
03D2342479, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Canyon State Academy hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 03D2342479 expire?
The CMS file lists April 20, 2028 as the certificate expiration date; the certificate took effect April 21, 2026.